补中健脾法对老年营养不良患者身体质量指数和相关蛋白质物质治疗价值的临床研究(1)
摘 要：目的 探討补中健脾协定方对老年患者营养不良的临床作用。方法 选取2016年1月～2018年1月浙江省荣军医院收治的71例脑卒中鼻饲患者，随机分为对照组36例和治疗组35例。对照组给予肠内营养液治疗，治疗组在对照组基础上加服补中健脾方。观察治疗前及治疗结束后1周两组患者BMI和相关蛋白代谢指标。结果 两组最终纳入病例各为32例。治疗后1周治疗组BMI为(22.32±4.54)kg/m2，优于对照组的(18.38±3.82)kg/m2，差异有统计学意义(P<0.05);治疗后1周，治疗组血清白蛋白(33.65±6.53)g/L、血红蛋白浓度(11.62±2.31)g/L、血清转铁蛋白含量(9.26±1.85)g/L，优于对照组的(29.62±6.30)g/L、(2.05±0.42)g/L、(1.40±0.26)g/L，差异有统计学意义(P<0.05)。治疗组治疗后1周血清白蛋白、血红蛋白和转铁蛋白严重程度病例数得到改善均优于治疗前，差异有统计学意义(P<0.05)。结论 联合补中健脾方能增强肠道消化功能和造血功能，促进肠内营养液的吸收利用，提高对营养风险和营养状况的改善能力。
, http://www.100md.com
关键词：营养不良;补中健脾;肠内营养;蛋白质;体质质量指数
中图分类号：R259 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.21.044
文章编号：1006-1959(2018)21-0152-04
Clinical Study on the Therapeutic Value of Body Mass Iindex and Related Protein in Elderly Patients with Malnutrition by Invigorating the Spleen Method
LIU Qing-xian1，2，LUO Hong1，FENG Miao-lian2，LOU Xiao-xia2
, 百拇医药
(Department of Neurology1，Department of Geriatrics2，Zhejiang Rongjun Hospital，Jiaxing 314000，Zhejiang，China)
Abstract：Objective To explore the clinical effect of invigorating the spleen method agreement on malnutrition in elderly patients. Methods A total of 71 patients treated in Zhejiang Rongjun hospital from January 2016 to January 2018 were selected and randomly divided into the control group(36 cases) and the treatment group (35 cases). The control group was treated with enteral nutrient solution. The treatment group was given invigorating the spleen method on the basis of the control group. BMI and related protein metabolism indicators were observed before treatment and 1 week after treatment.Results There were 32 cases in each group. BMI of 1 week after treatment was (22.32±4.54) kg/m2， which was better than that of the control group (18.38 ±3.82) kg/m2，the difference was statistically significant (P< 0.05). 1 week after treatment， the serum albumin (33.65±6.53) g/L， hemoglobin concentration (11.62±2.31) g/L， serum transferrin content (9.26±1.85) g/L in the treatment group were superior to that in the control group (29.62±6.30) g/L， (2.05±0.42) g/L， (1.40±0.26) g/L，the differences were statistically significant (P<0.05). The number of cases with the severity of serum albumin， hemoglobin and transferrin improved in the treatment group 1 week after treatment，the difference was statistically significant (P<0.05). Conclusion The combination of invigorating the spleen method can enhance the intestinal digestive function and hemopoietic function， promote the absorption and utilization of enteral nutrient solution， and improve the ability to improve the nutritional risk and nutritional status., http://www.100md.com(刘庆宪 罗 虹 冯妙莲 楼晓霞)
, http://www.100md.com
关键词：营养不良;补中健脾;肠内营养;蛋白质;体质质量指数
中图分类号：R259 文献标识码：A DOI：10.3969/j.issn.1006-1959.2018.21.044
文章编号：1006-1959(2018)21-0152-04
Clinical Study on the Therapeutic Value of Body Mass Iindex and Related Protein in Elderly Patients with Malnutrition by Invigorating the Spleen Method
LIU Qing-xian1，2，LUO Hong1，FENG Miao-lian2，LOU Xiao-xia2
, 百拇医药
(Department of Neurology1，Department of Geriatrics2，Zhejiang Rongjun Hospital，Jiaxing 314000，Zhejiang，China)
Abstract：Objective To explore the clinical effect of invigorating the spleen method agreement on malnutrition in elderly patients. Methods A total of 71 patients treated in Zhejiang Rongjun hospital from January 2016 to January 2018 were selected and randomly divided into the control group(36 cases) and the treatment group (35 cases). The control group was treated with enteral nutrient solution. The treatment group was given invigorating the spleen method on the basis of the control group. BMI and related protein metabolism indicators were observed before treatment and 1 week after treatment.Results There were 32 cases in each group. BMI of 1 week after treatment was (22.32±4.54) kg/m2， which was better than that of the control group (18.38 ±3.82) kg/m2，the difference was statistically significant (P< 0.05). 1 week after treatment， the serum albumin (33.65±6.53) g/L， hemoglobin concentration (11.62±2.31) g/L， serum transferrin content (9.26±1.85) g/L in the treatment group were superior to that in the control group (29.62±6.30) g/L， (2.05±0.42) g/L， (1.40±0.26) g/L，the differences were statistically significant (P<0.05). The number of cases with the severity of serum albumin， hemoglobin and transferrin improved in the treatment group 1 week after treatment，the difference was statistically significant (P<0.05). Conclusion The combination of invigorating the spleen method can enhance the intestinal digestive function and hemopoietic function， promote the absorption and utilization of enteral nutrient solution， and improve the ability to improve the nutritional risk and nutritional status., http://www.100md.com(刘庆宪 罗 虹 冯妙莲 楼晓霞)